2022 Live to Lead

Tihs is the form for 2022 Registration.

Please use this link for 2023 Registration:

https://form.jotform.com/231856140569158

We look forward to seeing you Thursday!

It's going to be a great day!

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

E-mail*

example@example.com

Business*

example@example.com

Business:

Title/position:

Title/position*

example@example.com

How did you hear about us?*

Any special requirements*

Would you be willing to recommend us?

YesMaybeNot now

If yes, please give reference of any two people whom you feel would benefit from attending:

	Full Name	Email	Contact Number
1
2

My Products

L2L Ticket

$111.00

L2L TableTable of 6

$600.00

L2L Value Sponsor• Table of 6 at event w/ logo branding in center of table • Business logo on slide shown during breaks • Business logo in the conference program • Business logo on Siouxland Magazine website/L2L page – with hyperlink • Business logo on Siouxland Magazine Facebook page & Linked In • Stage mention from emcee

$1,500.00

Partnering Sponsor• Table of 8 at event w/ logo branding in center of table – placement at front of room • Business logo on slide shown during breaks • One slide (designed by you) to rotate on slide show during breaks • Business logo in the conference program • Business logo on Siouxland Magazine website/L2L page • Business logo on Siouxland Magazine Facebook page & Linked In • One Quarter-page ad in November issue of Siouxland Magazine ($400 Value) • Shoutout on radio advertisements (Powell) • Stage mention from emcee

$2,200.00

Total

$0.00

Credit Card